Individual provider Active NPI

Irys Ako Agbortabi, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbia, MD
National Provider Identifier
1760163489
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R185250 Issued in MD
Practice address
10400 Little Patuxent Pkwy Ste 240
Columbia, MD 21044-3540
Phone
(321) 422-7110
NPI assigned
Jul 26, 2023
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R185250 MD Primary

Addresses

Primary practice location

10400 Little Patuxent Pkwy Ste 240
Columbia, MD 21044-3540

Mailing address

10400 Little Patuxent Pkwy Ste 240
Columbia, MD 21044-3540
Phone (321) 422-7110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250122000103 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547799512 Reassigns benefits to 5 organizations
I20250122000185 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547799512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Digestive Disease Associates LLCGroup PAC ID 1951734078, 46 clinicians
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians
Lifebridge Community Gastroenterology LLCGroup PAC ID 7618108119, 54 clinicians
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 120
Columbia, MD 21044-3258
Phone (410) 772-7345

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

1838 Greene Tree Rd
Suite 400
Pikesville, MD 21208-7103
Phone (410) 602-7782

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

6201 Greenleigh Ave
Middle River, MD 21220-2004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R185250MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Gastroenterology, LLC CurrentSince Jul 21, 2025 Accepting new patients
Pikesville MD Endoscopy ASC LLC Current Accepting new patients
Johns Hopkins University Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2025 Accepting new patients
Johns Hopkins University CurrentSince Oct 15, 2025 Accepting new patients
Digestive Disease Associates, LLC CurrentSince Aug 31, 2025 Accepting new patients
US Anesthesia Partners of DC PC Nurse Anesthetist, Certified Registered CurrentSince Jan 26, 2025 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Sep 1, 2025 Accepting new patients
Johns Hopkins University Current Accepting new patients
Dr Wendy Kloesz, M.D., P.a Past Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

10400 Little Patuxent Pkwy
Ste 240
Columbia, MD 21044
Phone (321) 422-7110

10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797

10710 Charter Dr
Ste 120
Columbia, MD 21044
Phone (410) 772-7345

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800

1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3031

Interoperability endpoints

  • Direct secure messaging: irys.agbortabicrna.p2@direct.msmg.nextgenshare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1760163489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 LITTLE PATUXENT PKWY STE 240",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443540",
            "telephone_number": "321-422-7110",
            "fax_number": "407-667-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 LITTLE PATUXENT PKWY STE 240",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443540",
            "telephone_number": "321-422-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBORTABI",
        "first_name": "IRYS",
        "middle_name": "AKO",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R185250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.